Provider Demographics
NPI:1083599872
Name:PHIRI, ANDREW HARTLEY
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:HARTLEY
Last Name:PHIRI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17898 N CARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85139-9163
Mailing Address - Country:US
Mailing Address - Phone:602-544-6965
Mailing Address - Fax:
Practice Address - Street 1:17898 N CARMEN AVE
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85139-9163
Practice Address - Country:US
Practice Address - Phone:602-544-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant